PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
NPI 1760465207
Clinic/Center - Ambulatory Surgical in Rapid City, SD
NPI Status: Active since November 29, 2005
Contact Information
3615 5TH ST
SUITE 100
RAPID CITY, SD
ZIP 57701
Phone: (605) 343-6714
Fax: (605) 343-2130
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 43D1045358
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-12-2025
About PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
This page provides the complete NPI Profile along with additional information for Plastic Surgical Center Of Rapid City, Prof. L.l.c., a provider established in Rapid City, South Dakota operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760465207 assigned on November 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 11152 (SD). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Robert James Schutz M.d. (Md/medical Director)
- NPI
- 1760465207
- Provider Name
- PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
- Entity Type
- Organization
- Location Address
- 3615 5TH ST SUITE 100 RAPID CITY, SD 57701
- Location Phone
- (605) 343-6714
- Location Fax
- (605) 343-2130
- Mailing Address
- 3615 5TH ST SUITE 100 RAPID CITY, SD 57701
- Mailing Phone
- (605) 343-6714
- Mailing Fax
- (605) 343-2130
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-29-2005
- Last Update Date
- 04-30-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 11152
- License State
- SD
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81014 | OTHER (01) | SD | WELLMARK BCBS # |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.
This service was performed 11 times for 11 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D1045358
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 13, 2023
- Certificate Expiration Date
- September 12, 2025
- Laboratory Director
- COLETTE KLEIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Plastic Surgical Center Of Rapid City, Prof. L.l.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 6 | 5 | 2 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 6 | 10 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 6 + 1 + 0 + 2 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1760465207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477683324 | DR. ROBERT JAMES SCHUTZ Individual | Surgery (Plastic and Reconstructive Surgery) | 3615 5TH ST SUITE 101 RAPID CITY, SD 57701 (605) 343-7208 |
| 1205954120 | MS. MARY L FREIDEL CSTCFA Individual | 3615 5TH ST SUITE 101 RAPID CITY, SD 57701 (605) 343-7208 | |
| 1104290980 | RAPID CITY MEDICAL CENTER LLP Organization | Clinic/Center (Multi-Specialty) | 3615 5TH ST SUITE 107 RAPID CITY, SD 57701 (605) 342-3280 |
| 1063729853 | JENNIFER FAITH KNOWLES CNP Individual | Nurse Practitioner (Family) | 3615 5TH ST SUITE 107 RAPID CITY, SD 57701 (605) 342-3280 |
| 1225497266 | JODY CADOTTE Individual | Nurse Practitioner | 3615 5TH ST SUITE, 101 RAPID CITY, SD 57701 (605) 343-7208 |
| 1851364665 | BOBBI L LANGBEHN PA-C Individual | Physician Assistant | 3615 5TH ST SUITE 101 RAPID CITY, SD 57701 (605) 343-7208 |
| 1699215061 | DR. KATIE MIRES PHARMD Individual | Pharmacist | 3615 5TH ST STE 109 RAPID CITY, SD 57701 (605) 348-0815 |
| 1790066363 | J R ANESTHESIA PROF LLC Organization | Nurse Anesthetist, Certified Registered | 3615 5TH ST 100 RAPID CITY, SD 57701 (605) 343-6714 |
| 1780635706 | MARY SNYDER Individual | Surgery (Plastic and Reconstructive Surgery) | 3615 5TH ST SUITE 101 RAPID CITY, SD 57701 (605) 343-7208 |
| 1174556757 | PHARMACY CORPORATION OF AMERICA Organization | Pharmacy (Long Term Care Pharmacy) | 3615 5TH ST SUITE 109 RAPID CITY, SD 57701 (605) 342-8132 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760465207, enumerated in the NPI registry as an "organization" on November 29, 2005
The provider is located at 3615 5th St Suite 100 Rapid City, Sd 57701 and the phone number is (605) 343-6714
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Avera Health Plans, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin.
The provider's CLIA number is 43D1045358 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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